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Tongue cleaning is an important yet often overlooked aspect of oral hygiene

Medications Many common and regularly used medications will affect the absorption of Vitamin B12, this includes the following drugs: Acid lowering drugs known as PPI used to treat reflux Antibiotics Metformin, which is a common drug used to treat diabetes Anti-seizure medications Antidepressants affect folate levels and this can have an influence on B12 levels Note: If you are taking these medications and have low B12 do not stop your medication without consulting your doctor

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However, AGNP Consensus Guidelines from 2011 attribute a level 2 of recommendation for therapeutic drug monitoring for SSRI (except paroxetine) and SNRI [7]

Now I had a dilemma: pop the vintage tin or smoke the stuff made last year